text: from pathlib import os
  from api.utils import load_config
  
  # Load Config
  config_path = os.getenv("DOMAIN_CONFIG", "config.yml")
  config = load_config(config_path)
  
  # Database Manager
  from api.database.database_manager import DatabaseManager
  
  database_manager = DatabaseManager.sharedInstance()
  Base = database_manager.Base
  
  # Context
  from api.database.context_manager import session
  
  # Create Tables
  from api.orm_models import Patient
  
  Base.metadata.create_all(bind=database_manager.engine)
  
  from api.api import app
  